Related regulations: 6 CCR 1011-1 Chapter 24
10 C.C.R. 2505-10, SECTION 8.614
All agents who wish to participate in medication services must commit to follow the medication Rights and must "Qualified medication administration staff member" or "QMAP." All QMAP services will be provided on a contractual basis or as part of the volunteer agreement.
- Right client.
- Right time.
- Right medication.
- Right dose.
- Right route.
- Right documentation.
- Right to refuse.
- 25-1.5-303, C.R.S.
In order to be approved to offer QMAP services an agent must complete each of the following:
CDPHE training (required to take the QMAP training):
Qualified Medication Administration Personnel (QMAP) Online Preparatory Training
To register as a New User: Go to www.co.train.org
*Note: many agents will be in the North Central Region of Colorado when the profile requests this information
Each agent may choose their training location from the approved list found here: https://docs.google.com/document/d/1LdZr12VPRO833LgA7AYVF8LEAn_PsKUBlfiY-xCn2Wo/pub
Agency Specific Orientation:
Each agent wishing to provide medication support must complete at pass the Therap training session related to medication data. https://help.therapservices.net/app/answers/detail/a_id/2264
*Certificate must be sent to agency
Complete orientation to Medication Policy with 80% accuracy
After agent alerts the agency of completion of required training and agency specific training certificate is provided, the agency will verify QMAP status.
Verifying QMAP status through the online verification system. If an agent is not listed in the verification system service approval will not be granted. Once QMAP status is verified, qualifications will not expire.
Verification system: https://www.colorado.gov/pacific/cdphe/qmap-verification
Statement of responsibility:
- All agents offer QMAP services are responsible for remaining up to date on rules and regulations, best practice and for their clients safety.
- Residential Day Program QMAPs are allowed to work only in designated settings. Please see Chapter 24 for a complete list.
- Child care QMAPS trained by Qualistar are only allowed to work in facilities designated by DHS.
- QMAPs may only provide services that are covered by their training
- All errors will be reported
- Pattern of deficient medication administration practice or administration of medication contrary to a physician’s order or rules that either cause or has the potential to cause harm to the recipient will be made no later than the next business day after the occurrence or no later than the next business day after the agency becomes aware of the occurrence to CDHPE.
Person Specific Training:
- Prior to QMAP services, agent must complete an orientation with client / client family and any relevant team members. Orientations agreement for medication should be reviewed and signed prior to implementation.
- This must be completed for EACH client that the QMAP will be providing medication services for
Additional documentation required for:
In the case of the following, agents must receive person specific training from family, agency, or offer documentation of knowledge proving competency prior to providing support:
- G-tube services
- PRN medications
- Psychotropic medication due
process and other similar situations
- The use of psychotropic medications and other medications used for the purpose of modifying a person's behavior by persons receiving comprehensive services and supports are used in accordance with the requirements of section 8.609.6.D.7 and 8, and are monitored by the Human Rights Committee on a regular basis
- Insulin Pens
(The term “administration” of medication does not include judgment, evaluation, assessment, or monitoring of medication.)
- Prescription and non-prescription medications shall be administered only by QMAPs
- A written order of a licensed
physician or other licensed authorized practitioner must be in place for
medication administration and orders must be current.
- Orders must be renewed after a client experiences an inpatient hospitalization.
- Orders must be reviewed at least annually.
- All medications shall be labeled with the client's full name, including non-prescription medication.
- Clients may ONLY take their own medications.
- Clients who self-administer medication may or may not use medication reminder boxes
- If a client needs help with a
reminder box, provider must be a QMAP in order to help
- QMAPs helping with reminder boxes will be familiar with the type and quantity of medication in each compartment of the box.
- Records must be completed if QMAP is helping with the reminder box same when using a reminder box as when helping directly
- When any medication instruction changes, use of the medication will be discontinued and new orders followed.
- If there is ever any
differences between what is in a client's file regarding medication, such
as, labeling, administration or
assistance needed, and what is available / observed, the QMAP will not
provide medication or help with a reminder box, until the proper
authorities have been contacted and clarification is provided.
- Authorities may be the person responsible for filling the medication reminder box, the prescribing professional, or responsible family / friend of the client.
- Problems regarding medication must be resolved prior to next administration
- Any and all errors will have an incident (GER) report filed
- For those who self -administer medication, quarterly reviews of regimens will take place in order to determine if regimen is being followed according to doctor's orders. (ONLY APPLIES TO IRSS CLIENTS)
Medication Reminder Boxes:
- Each reminder box will have
the client's ID number on it and the time when box should be used, in
order to access the clients digital information which will include
- Each medication, the dosage
- The quantity
- Route of administration
- Time that each medication is to be administered.
- When any medication instruction changes use of the medication will be discontinued and new orders followed. In the case of a medication reminder box, use of the medication reminder box will ceases, until the nurse, QMAP, family member or friend has refilled the box according to the change ordered.
- PRN medications may not be placed in a reminder box
- Medications with ANY special instructions may not be placed in a reminder box
- Reminder boxes may be filled at a maximum, two weeks in advance
- Reminder boxes may only be used at the time specified on the box
- Medication must be stored in a manner consistent with manufacturer and FDA guidelines
- Medication must be stored in a way that is safe for clients
- Medications may not be stored with cleaning supplies or any toxic substance
- Medication shall be stored in a way that is consistent with the individualized service plan
- Controlled substance medications must be stored in a lock box and a count procedure must be created between agent, agency, and family / client. Procedures will be based on individual support plan as all providers are one on one providers and are unable to meet rules and regulations regarding two-person counts and next shift counts.
- Any medication container having no label or with an illegible label will be disposed of.
- Medication that has expired will be disposed of.
- Medication that is disposed of will be documented, date, time, method, and reason for disposal will be included.
- Clients have the right to refuse medication. A report will be made and a care conference will be held.